How much rates vary
Facilitymedian $3,715 · 10th to 90th $2,512 to $6,166Professionalmedian $3,236 · 10th to 90th $1,738 to $4,898
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,511.89 | $3,235.94 | $3,235.94 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $6,165.95 | Facility | None | $2,818.38 | $3,715.35 | $6,165.95 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,754.23 Median $4,073.80 Typical High $4,265.80 | Professional | None | $2,754.23 | $4,073.80 | $4,265.80 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $2,884.03 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $2,570.40 | $2,884.03 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Facility | None | $2,511.89 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,862.09 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $3,235.94 Typical High $3,890.45 | Facility | None | $1,122.02 | $3,235.94 | $3,890.45 |
Moda Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $4,073.80 | Professional | None | $2,511.89 | $3,548.13 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $3,162.28 Median $4,897.79 Typical High $234,422.88 | Facility | None | $3,162.28 | $4,897.79 | $234,422.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $275,422.87 | Professional | None | $3,890.45 | $4,897.79 | $275,422.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $3,715.35 Typical High $5,623.41 | Facility | None | $3,630.78 | $3,715.35 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,073.80 | Professional | None | $2,754.23 | $2,754.23 | $4,073.80 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,011.87 | Facility | None | $3,890.45 | $3,890.45 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $4,265.80 | Professional | None | $2,570.40 | $3,890.45 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,621.81 | $1,737.80 | $2,691.53 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $371.54 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $251.19 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $371.54 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $251.19 | $323.59 | $323.59 |
Where Idaho sits
The same service costs 2.2 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 12th of 51
$3,311
HI $4,169DE $1,862
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.